Organization Active NPI

Hedgecock Artificial Limb Co., Inc

  • Prosthetic/Orthotic Supplier
  • Tyler, TX
National Provider Identifier
1699967067
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
000050 Issued in TX
Legal business name
HEDGECOCK ARTIFICIAL LIMB CO., INC
Practice address
1917 S Beckham Ave
Tyler, TX 75701-4453
Phone
(903) 531-2228
Fax
(903) 531-2229
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann Cicero
Title
President/Owner
Phone
(214) 744-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 000050 TX Primary

Addresses

Primary practice location

1917 S Beckham Ave
Tyler, TX 75701-4453

Mailing address

2909 Canton St Ste C
Dallas, TX 75226-3508
Phone (214) 744-3278

National Provider Directory

National Provider Directory

Locations

2909 Canton St
Ste C
Dallas, TX 75226
Phone (214) 984-3696

1917 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-4663

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1699967067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 CANTON ST STE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752263508",
            "telephone_number": "214-744-3278",
            "fax_number": "214-744-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014453",
            "telephone_number": "903-531-2228",
            "fax_number": "903-531-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGECOCK ARTIFICIAL LIMB CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "214-744-3278"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.